NPIMap

Organization Active NPI

New England Center for Psychiatric and Addiction Disorders, LLC

  • Addiction Psychiatry Physician
  • Attleboro, MA
National Provider Identifier
1154713030
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
71995 Issued in MA
Legal business name
NEW ENGLAND CENTER FOR PSYCHIATRIC AND ADDICTION DISORDERS, LLC
Practice address
24 Park St
Attleboro, MA 02703-2338
Phone
(508) 222-0089
Fax
(508) 222-0095
NPI assigned
Mar 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ileana Berman, M.D.NPI 1245277961
Title
Owner
Phone
(401) 447-9611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0802X 71995 MA Primary

Addresses

Primary practice location

24 Park St
Attleboro, MA 02703-2338

Mailing address

24 Park St
Attleboro, MA 02703-2338
Phone (508) 222-0089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150825004022 MA Part B Supplier - Clinic/Group Practice 7911213764 Receives reassigned benefits from 6 practitioners
Practice locations: Wareham, MA; Fall River, MA; Attleboro, MA

National Provider Directory

National Provider Directory

Locations

24 Park St
Attleboro, MA 02703
Phone (508) 222-0089

8 Hayward St
Attleboro, MA 02703
Phone (508) 222-0089

8 Hayward St
#1
Attleboro, MA 02703
Phone (508) 222-0089

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1154713030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PARK ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032338",
            "telephone_number": "508-222-0089",
            "fax_number": "508-222-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 PARK ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032338",
            "telephone_number": "508-222-0089",
            "fax_number": "508-222-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND CENTER FOR PSYCHIATRIC AND ADDICTION DISORDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "ILEANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-447-9611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "MA",
            "license": "71995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.